Provider Demographics
NPI:1699254110
Name:CARPENTER, ALISON DANA (LCSW, LCAS)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:DANA
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 HUFFMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-6204
Mailing Address - Country:US
Mailing Address - Phone:910-208-0476
Mailing Address - Fax:
Practice Address - Street 1:513 NEW BRIDGE ST # 500
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5430
Practice Address - Country:US
Practice Address - Phone:910-208-0476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0137091041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical